Entry Form
Australian Powerlifting Union LTD Version 011219

Form Created By: Sectio (Tyo Muir)
Email address *
Details of Competition
Event Name: Central Coast Barbell Open

Event Date: 5 April 2020

Venue: Central Coast Barbell
18 Nells Road West Gosford NSW 2250

Meet Director: Patrick Whymark (Email: whymark1@bigpond.com)

Closing Date for Entries: 15 March 2020

Planned Lifting Start: 09:00 AM
Details of Participant
Name *
Your answer
Gender *
Date of Birth *
MM
/
DD
/
YYYY
APU Membership Number *
Your answer
Address *
Your answer
Postal Address *
Your answer
Telephone *
Your answer
Email *
Your answer
Weight Class *
Age Group *
Club *
Your answer
Name of Coaches and APU No. *
Your answer
Qualifying Total (Kg) -Not Required-
Your answer
Competition where qualifying total was achieved -Not Required-
Your answer
The event to be entered *
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